Provider Demographics
NPI:1073562682
Name:UT IMAGING - HOUSTON LLP
Entity Type:Organization
Organization Name:UT IMAGING - HOUSTON LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:KYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-6009
Mailing Address - Street 1:840 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4626
Mailing Address - Country:US
Mailing Address - Phone:615-550-6009
Mailing Address - Fax:615-550-6004
Practice Address - Street 1:6700 WEST LOOP S
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4104
Practice Address - Country:US
Practice Address - Phone:713-662-9729
Practice Address - Fax:713-662-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0501DCOtherBLUE CROSS
TX00W296Medicare PIN